"IT IS NOT EASY": CHALLENGES FOR PROVIDER-INITIATED HIV TESTING AND COUNSELING IN FLANDERS, BELGIUM
"IT IS NOT EASY": CHALLENGES FOR PROVIDER-INITIATED HIV TESTING AND COUNSELING IN FLANDERS, BELGIUM
复制标题
DOI：
10.1521/aeap.2012.24.5.456
复制
发表时间：
2012-10-01
影响因子：
1.8
通讯作者：
Nostlinger, Christiana
中科院分区：
文献类型：
--
作者：
Manirankunda, Lazare;Loos, Jasna;Nostlinger, Christiana
这项研究确定了医生的艾滋病毒检测的做法和他们的障碍，实施提供者发起的艾滋病毒检测和咨询（PITC）的撒哈拉以南非洲移民（SAM）在弗兰德斯，比利时。深入访谈进行了有目的的样本20名医生（10个GP和10内科医生）。全科医生主要进行患者主动测试，而内科医生则根据疾病指标和风险行为进行测试。在大多数情况下，没有遵守世界卫生组织（世卫组织）的准则。研究参与者不赞成实施PITC。原因包括缺乏信息的艾滋病毒流行病之间的SAM，害怕污名化的病人，感知测试作为不道德的无证患者，可疑的相关性测试前咨询，缺乏专业知识，讨论性，语言障碍，缺乏时间，以及缺乏一个国家或地区的艾滋病毒检测policy.Implementing PITC将需要适当的培训服务提供者。此外，应在利益攸关方的参与下制定支持政策，鼓励艾滋病毒检测"正常化"。
This study identified physicians' HIV testing practices and their barriers toward implementing provider-initiated HIV testing and counseling (PITC) for Sub-Saharan African migrants (SAM) in Flanders, Belgium. In-depth interviews were conducted on a purposive sample of 20 physicians (ten GPs and ten internists). GPs performed mainly patient-initiated tests, while internists carried out tests based on disease indicators and risk behavior. For the most part, World Health Organization (WHO) guidelines were not followed. Study participants were not in favor of implementing PITC. Reasons included lack of information on the HIV epidemic among SAM, fear of stigmatizing patients, perceiving testing as unethical for undocumented patients, questionable relevance of pre-test counseling, lack of expertise in discussing sexuality, language barriers, lack of time, and the absence of a national or regional HIV testing policy.Implementing PITC will require appropriate training of service providers. Also, supporting policies should be developed with the participation of stakeholders encouraging "normalization" of HIV testing.